IndividualActive
Dereck Estrada, LPMHC
NPI 1619440104 · Mental Health Counselor · White City, OR
Provider details
- NPI number
- 1619440104
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPMHC
- Sex
- Male
- Sole proprietor
- No
- License
- C4199 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
8495 Crater Lake Hwy # 116b
White City, OR 97503-3011
Phone: (541) 826-2111
Approximate (ZIP-level) locationGet directions
Mailing address
639 Shadow Way
Central Point, OR 97502-2526
Registry dates
- Enumerated
- 2019-01-07
- Last updated
- 2019-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.